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General NPI Number Information
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NPI Number | 1346038270
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Entity Type | Individual
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Provider Name | LY MAI NGUYEN MS
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Gender | Female
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Dates
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Enumeration Date | 04/29/2025
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Last Update Date | 04/29/2025
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Provider Practice Location Address
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Address Line | 4772 KATELLA AVE STE 100
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City | LOS ALAMITOS
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State | CA
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Zip | 90720-2681
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Country | US
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Telephone | 562-430-8700
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Fax |
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Provider Business Mailing Address
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Address Line | 98 SAINT JAMES
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City | IRVINE
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State | CA
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Zip | 92606-1915
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Country | US
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Telephone | 949-973-1233
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XH1200X
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Taxonomy Name | Hand Occupational Therapist
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License Number | 27686
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License Number State | CA
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